尊重老年人停止透析的决定时会涉及哪些伦理问题？

What Are Ethical Issues When Honoring an Older Adult's Decision to Withdraw from Dialysis?

作者信息

Hain Debra J, Diaz Duna, Paixao Rute

机构信息

Associate Professor and Lead AGNP Faculty, Davie Site Coordinator for FNP Concentration, Florida Atlantic University, Christine E Lynn College of Nursing, Boca Raton, FL.

Nurse Practitioner, Cleveland Clinic Florida, Department of Nephrology and Hypertension, Weston, FL.

出版信息

Nephrol Nurs J. 2016 Sep-Oct;43(5):429-450.

PMID:30550071

Abstract

Over the next decade, nephrology nurses will witness a continual growth of older adults undergoing hemodialysis. At some point after initiating dialysis, some people will request withdrawal from dialysis, which can present ethical challenges for nurses as they engage in shared decision-making with the patient, family, and other healthcare professionals. This article presents an older adult's story from initiation of dialysis to withdrawal from dialysis and discusses an approach to address ethical issues related to withdrawal from dialysis.

摘要

在接下来的十年里，肾病护理人员将见证接受血液透析的老年人数量持续增长。在开始透析后的某个时候，有些人会要求停止透析，这可能给护士带来伦理挑战，因为他们要与患者、家属及其他医疗专业人员共同参与决策。本文讲述了一位老年人从开始透析到停止透析的故事，并探讨了应对与停止透析相关伦理问题的方法。